CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Banner Fort Collins Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $19
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Banner Fort Collins Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.96x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $7 (72%)
Insurance Median: $19 (196%)
Cash: $7 (72% of Medicare)
Ins. Median: $19 (196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $9 - $25 93%
Blue Cross Blue Shield $10 - $19 103%
Cigna $10 103%
Clear Spring Health $10 103%
Devoted Health Services $10 103%
Healthspring Life & Health Insurance Company, Inc. $10 103%
Humana $10 103%
Longevity $10 103%
Medica $10 - $25 103%
Medicare (plans) $10 103%
Assist Health Group $12 124%
Banner Health $12 124%
Pinnacol Assurance Workers Comp $15 154%
Denver Health Medical Plan $17 175%
Hue Health, Inc $21 - $25 216%
Centivo $23 237%
Rocky Mountain Health Plans $25 257%
Aetna $26 268%
Apostrophe, Inc. $26 268%
Decent Health $26 268%
First Choice Health Network $27 278%
First Choice Of The Midwest $28 288%
Multiplan $28 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals